MARY NAN MALLORY M.D.
NPI 1427143874
Emergency Medicine in Louisville, KY

Q: What is Mary Mallory's NPI number?

The NPI number for Mary Mallory is 1427143874. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Mary Mallory's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Mallory was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 03, 2006PECOS Enrolled

530 S JACKSON ST, DEPARTMENT OF EMERGENCY MEDICINE C1H17, LOUISVILLE, KY 40202(502) 852-5689(502) 852-4701 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mary Nan Mallory M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY NAN MALLORY M.D. (NPI 1427143874) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Indiana (01039542A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427143874

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMARY NAN MALLORYCredential: M.D.

Location Address530 S JACKSON ST, DEPARTMENT OF EMERGENCY MEDICINE C1H17Louisville, KY 40202-1675

Mailing Address530 S Jackson St, Department Of Emergency Medicine C1h17Louisville, KY 40202-1675 · (502) 852-5689 · Fax (502) 852-4701

Phone(502) 852-5689

Fax(502) 852-4701

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateJune 1, 2015

✔ NPI 1427143874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IN · 01039542A

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

530 S JACKSON ST, Louisville, KY 40202

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Other Identifiers 3

Medicare ID-Type Unspecified122640NIN

Medicaid200011050IN

Medicare UPINE89701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Nan Mallory M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Mallory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Louisville Physicians, Inc.

Same address

Diagnostic Radiology

530 S JACKSON ST, SUITE C07
Louisville, KY 40202

Reassigned Medicare billing, Kentucky enrollment
2,337 clinicians in this Medicare group

NPI 1316294127 (502) 852-5875

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARI BETH CHRISTIE MD

Anesthesiology